| T Ghotanian Dds | |
|
1370 Foothill Blvd # 102 La Canada CA 91011-2150 | |
| (626) 792-0001 | |
| Not Available |
| Full Name | T Ghotanian Dds |
|---|---|
| Speciality | Dentist |
| Location | 1370 Foothill Blvd # 102, La Canada, California |
| Authorized Official Name and Position | Tina Ghotanian (OWNER) |
| Authorized Official Contact | 6267920001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T Ghotanian Dds 1370 Foothill Blvd # 102 La Canada CA 91011-2150 Ph: (626) 792-0001 | T Ghotanian Dds 1370 Foothill Blvd # 102 La Canada CA 91011-2150 Ph: (626) 792-0001 |
| NPI Number | 1780012948 |
|---|---|
| Provider Enumeration Date | 10/28/2013 |
| Last Update Date | 10/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780012948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47079 (California) | Primary |
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